V-Y推进皮瓣修复眉缺损  

Reconstruction of partial eyebrow defect with V-Y advancement flap

作　　者：杨志勇[1] 乔丽[1] 方帆[1] 蒯飞[1] 

机构地区：[1]中国人民解放军空军总医院皮肤科,北京100142

出　　处：《中国麻风皮肤病杂志》2015年第12期733-735,共3页China Journal of Leprosy and Skin Diseases

摘　　要：目的：评价V-Y推进皮瓣用于眉缺损修复的效果。方法：根据25例眉缺损患者创面大小,在创面旁边剩余的眉毛生长区设计以皮下组织或眼轮匝肌为蒂的V-Y推进皮瓣,其中18例使用皮下组织蒂,7例以眼轮匝肌为蒂,皮瓣长轴与眉平行,长度约为缺损直径的1.5~2倍,最大宽度等于缺损直径,推进皮瓣覆盖缺损部位。结果：术后皮瓣全部成活,切口I期愈合,随访20例患者6个月~1年,皮瓣上眉毛生长良好,眉的连续性和对称性得以恢复,切口瘢痕隐蔽,上睑及眼无明显畸形,形态满意。结论：V-Y推进皮瓣操作简单,愈后切口瘢痕不明显。Objective： To assess the effect of the reconstruction of partial eyebrow defect with V- Y advancement flap. Methods： According to the size of the lesions,twenty five patients were treated with V- Y advancement flaps with a subcutaneous（ 18 patients） flaps or mimetic muscular pedicle（ 7 patients） flaps,respectively. The length of the flap was 1. 5 to 2 times longer than the diameter of lesion and the width was less than or equal to the size of the lesion diameter. Results： All flaps survived with primary healing in 20 cases who were followed- up for 6- 12 months after operation. The eyebrows were symmetric and integrity without distorting. The incision scar was not obvious and there was no malformation of the eyelid. Conclusion：The V- Y advancement flap is simple to operate and the incision scar is not obvious.

关 键 词：皮肤外科 修复 皮瓣 

分 类 号：R622[医药卫生—整形外科]